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Academic literature on the topic 'Potential Role of CHWs in the STI Field'
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Journal articles on the topic "Potential Role of CHWs in the STI Field"
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Musina, Ludmyla, and Tetiana Kvasha. "Experience of developing a mission-oriented STI for SDGS roadmap in Ukraine." Economic Analysis, no. 33(4) (2023): 17–31. http://dx.doi.org/10.35774/econa2023.04.017.
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The subject of the study: mission-oriented policy in the field of science, technology and innovation, to achieve the SDGs in Ukraine. Purpose: defining the STI policy missions (priority directions) to respond to societal challenges and SDGs; developing the roadmaps for STI policy missions as a tool ensuring their coordination with strategic documents’ measures regarding the SDGs achieving. Methods: policy analysis, foresight research, statistical and scientific-metric analysis, business and information analytics. Results of the work: The objectives of six policy missions in the STI field were determined based on the foresight study, analysis of challenges, scientific and technological potential and stakeholder consultations. For the first time, six STI for SDGs roadmaps were developed for six concrete missions according to a single structure, which includes the situation and trends analysis in the relative sectors, scientific and technological and entrepreneurial potential, the key strategic documents’ measures for the SDGs implementation. The road map content has been agreed with 17 interested authorities. A comprehensive STI for SDGs roadmap has been developed as a toolkit for coordinating regulatory, organizational and financial measures regarding SDGs in Ukrainian strategic documents with the STI policy tools. The research results are the basis for determining the priority directions for the development of science and innovative activities for 2023, approved by the resolutions of the Cabinet of Ministers of Ukraine No. 283 of March 30, 2023 and No. 463 of May 9, 2023. Scope of application of the results: legal regulation in the STI field, transformational innovation policy. Conclusions. Defining the tasks of six policy missions in the field of STI to respond to national challenges and SDGs allowed for a more thorough analysis of the problems and risks of not achieving the SDGs and their relations with the strategic policy planning in the relevant sectors. The mission-oriented STI for SDGs road map becomes a more effective tool for coordinating the priority directions (missions) of the STI policy with measures for their implementation in strategic development documents. Further research will be aimed at strengthening the roadmap’ coordinating role during the implementation of STI policy measures and tools in the sectors of the national economy, as well as developing the appropriate indicators for monitoring and evaluating the progress in the STI for SDGs roadmap implementation.
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Kvasha, T., and L. Musina. "Foresight as a tool of public administration in the field of science, technology and innovation." Economics, Entrepreneurship, Management 8, no. 1 (2021): 90–97. http://dx.doi.org/10.23939/eem2021.01.090.
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Given the growing role of technological foresight as a tool for reconciling visions, goals and ways of STI development in an era of rapid technological change and global challenges, the approach to foresight research to select priorities for science and innovation in Ukraine for 2022–2026 has been improved. It takes into account a wide range of national targets for achieving SDGs by 2030. The developed Methodological recommendations provided a thorough analysis of more than 3,000 potentially acceptable technological and innovative proposals. The approach to setting STI priorities is new for Ukraine and involves a consistent process of selecting the top 30 most acceptable proposals in each of the seven thematic areas through five stages of discussions and evaluations. The result was the formation of a database of technology passports and developments on the experts’ proposals, their selection by practitioners, ranking, evaluation in terms of the potential of Ukrainian science and relevance in terms of world science and new technologies using international databases. They are the basis for decisions by the Expert Councils and the High-Level Working Group on key thematic areas and the preparation of a relevant draft government decision. Despite the conditions of quarantine, for the first time more than 2,500 experts from science, business, state and public organizations took part in the discussions, which is the basis for impartial and public decision-making. To strengthen the role of foresight as a tool for public planning and management in the field of STI, it is proposed to develop a STI roadmap as part of a research and innovation strategy for smart specialization (RIS 3) at the national level.
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Rodriguez, Brendaly. "3430 Promoting Stakeholder Research Competencies to Culturalize Health Science by the Miami CTSA: National Partnership for Training Community Health Workers in Patient-Centered Outcomes Research (PCOR) in 4 States." Journal of Clinical and Translational Science 3, s1 (2019): 93–94. http://dx.doi.org/10.1017/cts.2019.213.
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OBJECTIVES/SPECIFIC AIMS: To mobilize and engage CHWs/promotores as stakeholders, we aim to promote the capacity for CHWs participate in patient centered research (PCOR) by locally implementing a structured research training curriculum for CHWs. Main Questions: How the process of mobilization and engagement would be implemented at local/state level? What would be project challenges, risks and barriers at each and across sites? What modifications would be made to the initial PCOR for CHWs training curriculum and toolkit based on local feedback from collaborators, in both English and Spanish? What would be lessons learned on mobilization, engagement of, and sustainability for CHW training organizations as partners in PCOR? METHODS/STUDY POPULATION: Measures: Monthly calls and quarterly reports from local organizations on activities, deliverables status, modifications, project implementation challenges/barriers and solutions (experienced and potential) to achieve goals of training 10 PCOR CHW Champions and a total of 360 CHWs/promotores trained in PCOR. Input from Note taker reports, Feedback and Evaluation Forms from training attendees at each session. Co-authorship of team members on dissemination activities (submissions for presentations, posters, blogs entries, webinars). Activities/Procedures: Via a highly participatory, consensus-driven decision-making approach, each of the organizations in the target states provide input into refining the toolkit for local use, select the training champions and develop CHW/promotor outreach and recruitment plans, and deliver the PCOR training to CHWs. In addition, the organizations will also set up a local stakeholder CHW/promotores advisory group. Environmental scan and literature review continues on training content areas to complement field experience in implementing the trainings at local sites. Project information tools developed (info sheet for local organizations, informational slide set to be used at calls and statewide seminars, a templates for flyer for training recruitment, agenda, certificates). FL and TN pilot of the translation of the curriculum, addressing problematic concepts and terms, collecting feedback forms eliciting input on terminology variations across Spanish speaking populations and literacy levels. Project Collaborators: Día de la Mujer Latina, a patient advocacy group in Texas with CHW trainings in several states and Puerto Rico Chula Vista Community Collaborative, a community health empowerment organization in Southern California Progresso Community Center, a Latino-focused health coalition based in Tennessee Florida Community Health Worker Coalition, a statewide partnership dedicated to the support and promotion of the CHW profession in Florida. RESULTS/ANTICIPATED RESULTS: Results: Trainings per State - Y1 Jan- October 2018 Totals: 11 PCOR Champions and 252 PCOR-Trained CHWs in CA-TX-TN Y2 Plans (October 2018-September 2019): Will continue to collect CHW trainee demographic data, CHW certification and patient/patient advocate status. Will conduct qualitative and quantitative analysis of all quarterly reports, Note taker, and trainee Feedback and Evaluation forms. Will reach goal of 360 PCOR-trained CHWs in FL, CA, TX and TN. Will continue to submit abstracts on our story on building patient and stakeholder capacity to participate as partners in patient-centered outcomes research, engagement and mobilization, from topic generation through the dissemination of research results. From evaluation analysis of content and process measures, we will discuss sustainability strategies as shared learning collaborative. DISCUSSION/SIGNIFICANCE OF IMPACT: Challenges/Decision Points Y1: On Mobilization and Engagement: Across partners, different levels of readiness/capacities/structures, and access to local resources Process application for request for content and guest instructor approvals to the Texas Department of State Health Services (DSHS) for CHW and CHW Instructor credit Co-branding of informational products (recruitment flyers, agendas, certificates), slides of Welcome section On Content and Curriculum Development: Address different levels of literacy Format (1-day vs spread, in person/online, prescriptive vs open) Clear distinction between service provision and research; paradigm shift of transfer of skills Inserting examples of unethical health research past activities with both African American and Hispanic/Latino populations Reinstating phases of clinical studies basic information Creating a study research design activity in Chapter 1 CHW role as member of research team Adding PCORI-funded project summary fact sheet per state On translations: Diversity of nuances of meaning in vocabulary for concepts On sustainability: Different degrees of organizational and personal involvement Next for newly PCOR-trained CHWs Meaningfully engaging patients and other stakeholders is increasingly recognized as requisite to generate research findings that are trusted, meaningful, and useful to clinicians, patients, and their families. One key engagement strategy used for engaging specific patients/caregivers and patient advocates in underserved communities is leveraging our partnerships with Community Health Workers (CHWs). Moreover, there is a documented need for higher level of training skills to undertake activities such as community health assessments, program evaluations and clinical studies. University of Miami (UM) along FL partners has successfully developed a 7-hr specialized toolkit on patient-centered research for CHWs and trained 148 CHWs/promotores (original plans were for 100) across the six major statewide regions. Evaluation data resulted in 100% of attendees responses’ as excellent and 99% would recommend it to others. Qualitative comments included “even though the training was tailored for research, I feel that it applies to many other aspects of the CHW role” and “I feel more empowered in my role after hearing explicitly the opportunities…for a CHW to be more involved in the research process”. UM has partnered with stakeholders in FL, Texas, southern California and Tennessee to develop a Spanish version of the PCOR for CHWs Training Toolkit (including a slide deck, Facilitator’s Guide and Student Workbook) that can be culturally and linguistically appropriate, to train local CHWs/promotores as PCOR CHW Champions. Attendees will receive lunch and a certificate of participation upon completion of the module. In turn, they agree to train local CHWs in their region. These 7 credit hrs could be used as credits towards state certification requirements, in states with CHW certification programs. This partnership for the mobilization and engagement of CHWs/promotores aims to strengthen their capacity to be involved in PCOR at the local and national level and increase the organizational capacity of CHW representative organizations in their promotion of PCOR. This type of research aims to help patients and those who care for them make better-informed decisions about the healthcare choices they face every day, guided by those who will use that information. In doing so, CHWs/promotores are contributing to PCOR in addressing health disparities and achieving health equity as a more culturally and linguistically diverse healthcare workforce and PCOR research team members.
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Luthfiah, Annisa, Yusi Deawati, M. Lutfi Firdaus, Iman Rahayu, and Diana Rakhmawaty Eddy. "Silica from Natural Sources: a Review on the Extraction and Potential Application as a Supporting Photocatalytic Material for Antibacterial Activity." Science and Technology Indonesia 6, no. 3 (2021): 144–55. http://dx.doi.org/10.26554/sti.2021.6.3.144-155.
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Silica has become a popular material due to its high abundance and many advantages in various fields. This material can be produced synthetically and extracted from nature with resultant advantages in the application of green production. Therefore, this article deals with the form of silica extracted from quartz sand, leaves, and agricultural wastes found in nature. The extraction process from various sources would be described using thermal, biological, and chemical methods. This review also highlights the potential application of silica as a photo catalytic antibacterial-supporting material and discusses its role in increasing the effectiveness of the process. The discussion was continued with research on this procedure, where synthetic auxiliary materials were compared to the extracted silica. Furthermore, results obtained indicated that the extracted material had very good potential as a photocatalyst adjunct in its application in the antibacterial field.
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Sumardi, Sumardi, Masfria Masfria, Mohammad Basyuni, and Abdi Wira Septama. "Potential of Polyisoprenoid of Mangroves as Antimicrobial and Anticancer: A Bibliometric Analysis." Science and Technology Indonesia 7, no. 1 (2022): 22–28. http://dx.doi.org/10.26554/sti.2022.7.1.22-28.
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Mangroves are plants that hope to inhibit coastal abrasion because they can adapt to seawater and withstand beach posture. Poly- isoprenoid compounds contained in mangroves have been known to have an important role in the process of adaptation to seawater salt stress. Publications in the Scopus database were collected using the keywords mangrove, polyisoprenoid, polyisoprene, and dolichol until December 2021. The articles obtained were analyzed bibliometrically using VOSviewer. Totally 129,406 documents were collected with the dominant topics apoptosis and antibacterial activity. Polyisoprenoid appeared 9 times with relevance val- ues 1.1. Polyprenol and dolichol did not link with antibacterial, anticancer, or other biological activities. Several 106,679 (82.5%) are original research articles, 13,907 (10.8%) papers have been published this year (2021). English was mostly used in the language in the publication (95.5%). The countries with the largest publications were the United States, then China, India, Australia, Brazil, United Kingdom, Germany, Japan, France, and Indonesia. The Marine Pollution Bulletin was the most publisher 1,875 documents. Four of the top ten funding sponsors are from China. Wang YS was the main collaborator who has publication links with 50 authors with a total link strength of 32. The field of studies is still in the biological, environmental, social, and pharmaceutical sciences. The study of mangroves and polyisoprenoids related to antimicrobial assays and anticancer increases over time and still needs a lot of scientific studies. Greater research collaboration involving more authors were the hope until the clinic stage.
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Ghaeini Kizilirmak, Azadeh. "Data Science and Artificial Intelligence Technology Developed for Alzheimer's-Dementia Patients and Elderly People to Live More Comfortably." Athens Journal of Τechnology & Engineering 12, no. 2 (2025): 127–42. https://doi.org/10.30958/ajte.12-2-4.
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As we know, the global population continues to increase at a great pace, as the elderly population and Alzheimer's and Dementia diseases are increasing day by day in parallel accordingly. According to the 2023 World Social Report prepared by the United Nations with the slogan "Leaving No One Behind in an Aging World"; the proportion of the elderly in the world population is expected to more than double from 761 million in 2021 to 1.6 billion by 2050. According to these forecasts, by 2050, the incidence of Alzheimer's disease is expected to increase from 47 million in 2020 to 76 million in 2030 and 135.5 million in 2050. The incidence rate of these diseases is inversely correlated with the development of countries. The relationship between the rate of increase is faster in countries with higher levels of development and prosperity. However, today's technological advances have had a positive impact on making the lives of people suffering from such diseases easier. Despite the results achieved by using AI technologies to help Alzheimer's-Dementia patients and/or the elderly population and making their lives easier and more comfortable, there are facing various long-term challenges driven by megatrends such as demographic shifts, increasing security threats, technological advancements. To overcome these challenges and accelerate transformation, AI and Data Science, Technology and Innovation (STI) play a crucial role. However, limited funding, brain drain, inadequate infrastructure, weak intellectual property protection and poor inclusiveness hinder progress and investment in STI for transition. Private sector initiatives have demonstrated successful examples and the potential to lead in this field. There is a consensus around the world on the economic and environmental benefits of developing and utilizing Artificial Intelligence - Human - Machine Hybrid Environment for a sustainable future. To unlock this potential, it is essential to invest more financial resources and create the right policy framework, fostering collaboration between governments, businesses and civil society. Keywords: AI, data science, Alzheimer's and Dementia patients, seniors, comfortable living
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Simansky, Vladimir, Jan Horak, Martin Juriga, and Dusan Srank. "Soil structure and soil organic matter in water-stable aggregates under different application rates of biochar." VIETNAM JOURNAL OF EARTH SCIENCES 40, no. 2 (2018): 97–108. http://dx.doi.org/10.15625/0866-7187/40/2/11090.
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The effects of biochar and biochar combined with N-fertilizer on the content of soil organic matter in water-stable aggregates were investigated. A field experiment was conducted with different biochar application rates: B0 control (0 t ha-1), B10 (10 t ha-1) and B20 (20 t ha-1) and 0 (no N), 1st and 2nd levels of nitrogen fertilization on silt loam Haplic Luvisol (Dolna Malanta, Slovakia), in 2014. The N doses of level 1 were calculated on required average crop production using balance method. Level 2 included additional 100% of N in year 2014 and additional 50% of N in year 2016. The effects were investigated during the growing seasons of spring barley and spring wheat in 2014 and 2016, respectively. Results indicate that the B20N2 treatment significantly increased the proportion of water-stable macro-aggregates (WSAma) and reduced water-stable micro-aggregates (WSAmi). Aggregate stability increased only in the B20N1 treatment. The B20N2 treatment showed a robust decrease by 27% in the WSAma of 0.5-0.25 mm. On the other hand, an increase by 56% was observed in the content of WSAma with fractions 3-2 mm compared to the B0N0 treatment. The effect of N fertilizer on WSAma was confirmed only in the case of the B10N2 treatment. The proportion of WSAma with fractions 3-2 mm decreased by 42%, while the size fraction of 0.5-0.25 mm increased by 30% compared to the B10N0 treatment. The content of WSAma with fractions 1-0.5 mm decreased with time. On the contrary, the content of WSAma with particle sizes above 5 mm increased with time in all treatments except the B10N2 and B20N2 treatments. A statistically significant trend was identified in the proportion of WSA in the B10N2 and B20N2 treatments, which indicates that biochar with higher application levels of N fertilizer stabilizes the proportion of water-stable aggregates. In all treatments, the content of soil organic carbon (SOC) and labile carbon (CL) in WSAmi was lower than those in WSAma. A considerable decrease of SOC in the WSAma >5 mm and an increase of SOC in WSAmi were observed when biochar was applied at the rate of 10 t ha-1. Contents of SOC in WSAmi increased as a result of adding biochar combined with N fertilizer at first level. CL in WSA significantly increased in all size fractions of WSA.References Abiven S., Hund A., Martinsen V., Cornelissen G., 2015. Biochar amendment increases maize root surface areas and branching: a shovelomics study in Zambia. Plant Soil, 342, 1-11. Agegnehu G., Bass A.M., Nelson P.N., and Bird M.I., 2016. Benefits of biochar, compost and biochar–compost for soil quality, maize yield and greenhouse gas emissions in a tropical agricultural soil. Sci. Tot. Environ., 543, 295-306. Angers D.A., Samson N., Legere A., 1993. 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Sensitivity of labile soil organic carbon pools to long-term fertilizer, straw and manure management in rice-wheat system. Pedosphere, 25, 534-545. Benbi D.K., Brar K., Toor A.S., Singh P., Singh H., 2012. Soil carbon pools under poplar-based agroforestry, rice-wheat, and maize-wheat cropping systems in semi-arid India. Nutr. Cycl. Agroecosys., 92, 107-118. Blanco-Canqui H., Lal L., 2004. Mechanisms of carbon sequestration in soil aggregates. Crit. Rev. Plant Sci., 23, 481-504. Brevik E.C., Cerda A., Mataix-Solera J., Pereg L., Quinton J.N., Six J., Van Oost K., 2015. The interdisciplinary nature of SOIL. SOIL, 1, 117-129. Brodowski S., John B., Flessa H., Amelung W., 2006. Aggregate-occluded black carbon in soil. Eur. J. Soil Sci., 57, 539-546. Bronick C.J., Lal R., 2005. The soil structure and land management: a review. Geoderma, 124, 3-22. Chenu C., Plante A., 2006. Clay-sized organo-mineral complexes in a cultivation chronosequece: revisiting the concept of the “primary organo-mineral complex”. Eur. J. Soil Sci., 56, 596-607. Dziadowiec H., Gonet S.S., 1999. Methodical guide-book for soil organic matter studies. Polish Society of Soil Science, Warszawa, 65p. Elliott E.T., 1986. Aggregate structure and carbon, nitrogen, and phosphorus in native and cultivated soils. Soil Sci. Soc. Am. J., 50, 627-633. Fischer D., Glaser B., 2012. Synergisms between compost and biochar for sustainable soil amelioration, In: Kumar S. (ed.): Management of Organic Waste, In Tech Europe, Rijeka, 167-198. Glaser B., Lehmann J., Zech W., 2002. Ameliorating physical and chemical properties of highly weathered soils in the tropics with charcoal - a review. Biol. Fertil. Soils., 35, 219-230. Heitkotter J., and B. Marschner, 2015. Interactive effects of biochar ageing in soils related to feedstock, pyrolysis temperature, and historic charcoal production. Geoderma, 245-246, 56-64. Herath H.M.S.K., Camps-Arbestain M., Hedley M., 2013. Effect of biochar on soil physical properties in two contrasting soils: an Alfisol and an Andisol. Geoderma, 209-210, 188-197. Hillel D., 1982, Introduction to soil physics. Academic Press, San Diego, CA , 364 p. Chenu C., Plante A., 2006. Clay-sized organo-mineral complexes in a cultivation chronosequence: revisiting the concept of the “primary organo-mineral complex”. Eur. J. Soil Sci., 56, 596-607. IUSS Working Group WRB., 2014. World reference base for soil resources 2014. International soil classification system for naming soils and creating legends for soil maps. World Soil Resources Reports, 106, FAO, Rome., 112p. Jeffery S., Verheijen F.G.A., Van der Velde M., Bastos A.C., 2011. A quantitative review of the effects of biochar application to soils on crop productivity using meta-analysis. Agr. Ecosys. Environ., 144, 175-187. Jien S.H., Wang Ch.S., 2013. Effects of biochar on soil properties and erosion potential in a highly weathered soil. Catena, 110, 225-233. Kammann C., Linsel S., Goßling J., Koyro H.W., 2011. Influence of biochar on drought tolerance of Chenopodium quinoa Willd and on soil-plant relations. Plant Soil, 345, 195-210. Kodesova R., Nemecek K., Zigova A., Nikodem A., Fer M., 2015. Using dye tracer for visualizing roots I pact on soil structure and soil porous system. Biologia, 70, 1439-1443. Krol, A., Lipiec, J., Turski, M., J. Kuoe, 2013. Effects of organic and conventional management on physical properties of soil aggregates. Int. Agrophys., 27, 15-21. Kurakov A.V., Kharin S.A., 2012. The Formation of Water-Stable Coprolite Aggregates in Soddy-Podzolic Soils and the Participation of Fungi in This Process. Eur. Soil Sci., 45, 429-434. Loginow W., Wisniewski W., Gonet S.S., Ciescinska B., 1987. Fractionation of organic carbon based on susceptibility to oxidation. Pol. J. Soil Sci., 20, 47-52. Lynch, J.M., and E. Bragg, 1985. Microorganisms and soil aggregate stability. Adv. Soil Sci., 2, 133-171. MHYPERLINK "about:blank"unkholm L.J., Schjonning P., Debosz K., Jensen H.E., Christensen B.T., 2002. Aggregate strength and mechanical behaviour of a sandy loam soil under long-term fertilization treatments. Eur. J. Soil Sci., 53, 129-137. Paradelo R., Van Oort F., Chenu C., 2013. Water-dispersible clay in bare fallow soils after 80 years of continuous fertilizer addition. Geoderma, 200-201, 40-44. Purakayastha T.J., Kumari S., Pathak H., 2015. Characterisation, stability, and microbial effects of four biochars produced from crop residues. Geoderma, 239-240, 293-303. Rees F., Germain C., Sterckeman T., Morel J.L., 2015. Plant growth and metal uptake by a non-hyperaccumulating species (Lolium perenne) and a Cd-Zn hyperaccumulator (Noccaea caerulescens) in contaminated soils amended with biochar. Plant Soil, 395, 57-73. Saha D., Kukal S.S., Sharma S., 2011. Land use impacts on SOC fractions and aggregate stability in typic Ustochrepts of Northwest India. Plant Soil, 339, 457-470. Six J., Bossuyt H., Degryze S., Denef K., 2004. A history of research on the link between (micro)aggregates, soil biota, and soil organic matter dynamics. Soil Till. Res., 79, 7-31. Six J., Elliott E.T., Paustian K., 2000. Soil macroaggregate turnover and microaggregate formation: A mechanism for C sequestration under no-tillage agriculture. Soil Biol. Biochem., 32, 2099-2103. Soinne H., Hovi J., Tammeorg P., Turtola E., 2014. Effect of biochar on phosphorus sorption and clay soil aggregate stability. Geoderma, 219-220, 162-167. Simansky V., 2013. Soil organic matter in water-stable aggregates under different soil management practices in a productive vineyard. Arch. Agron. Soil Sci., 59(9), 1207-1214. Simansky V., Jonczak J., 2016. Water-stable aggregates as a key element in the stabilization of soil organic matter in the Chernozems. Carp. J. Earth Environ. 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Moldoev, Murzali Ilyazovich, Akil Raj Ramakrishnan, and Praveena Barathi Babu. "ROLE OF PUBLIC HEALTH IN SEXUALLY TRANSMITTED DISEASE(STD)." March 11, 2025. https://doi.org/10.5281/zenodo.15006992.
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<em>Public health interventions, notably those pertaining to the prevention of sexually transmitted diseases, heavily rely on policies. Like other public health instruments, policies are frequently assessed to ascertain their efficacy. As a result, we reviewed the policy evidence for preventing sexually transmitted diseases in a non-systematic manner. Assessments or evaluations of policies pertaining to STD prevention, policies of the health care system, and other, more general policies that may influence STD prevention through socioeconomic determinants of health are all taken into account in our review. In these areas, we also outline possible policy opportunities. It should be mentioned that we discovered gaps in the policy evidence for a few areas; hence, more study would be helpful for STD prevention public health policy initiatives.</em>
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Folayan, Morenike O., Ahmed Bhayat, Nicaise Ndembi, Adeyinka G. Ishola, and Maha El Tantawi. "Essential role of community health workers in promoting oral health in Africa." Journal of Public Health in Africa 16, no. 1 (2025). https://doi.org/10.4102/jphia.v16i1.782.
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Oral health remains a critical yet often overlooked aspect of overall health in Africa, where a significant burden of oral diseases is evident. The integration of community health workers (CHWs) into oral health promotion strategies presents a unique opportunity to address both human resource and educational challenges, particularly in underserved communities. This study explores the pivotal role CHWs can play in enhancing oral health outcomes across various African contexts. By providing basic dental care, education and facilitating access to professional services, CHWs contribute to the prevention and early detection of oral diseases. The research draws on case studies, programme evaluations and field reports to highlight the effectiveness of CHW-led initiatives. The findings underscored the need for increased investment in CHW training and support as a sustainable approach to improving oral health in Africa. It highlights the role of the Africa Centres for Disease Control and Prevention in promoting oral health in the mandate of CHWs, identifies the challenges it may face in playing this role and proffers solutions including promoting the development of oral health policies and plans by the Africa Union Member States as a critical first and feasible step. The study concludes by identifying the need for a comprehensive assessment of the status of integration of oral health into CHW programmes in Africa to help the Africa Centres for Disease Control and Prevention identify gaps for strategic actions. This article offers the first comprehensive exploration of the potential for formally integrating CHWs into oral health promotion strategies across Africa. By mapping existing interventions, evaluating their effectiveness, and identifying policy and structural challenges, the study provides critical insights into how CHWs can bridge gaps in access to oral healthcare, particularly in underserved populations. It highlights the strategic role of the Africa CDC in advancing oral health through CHW-led initiatives and calls for standardised training, policy support, and system integration. The article aligns with the Journal of Public Health in Africa’s scope by addressing health systems strengthening and universal health coverage in the African context through an underutilised yet scalable workforce.
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Vaugoyeau, Emma, Lison Rambliere, Manon David, et al. "Proof of concept of a sexual health outreach program led by community health workers in homeless hostels in the greater Paris region." Frontiers in Public Health 11 (January 12, 2024). http://dx.doi.org/10.3389/fpubh.2023.1305874.
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ContextHomeless individuals face exacerbated risks of infectious diseases, including sexually transmitted infections (STIs). Programs led by Community Health Workers (CHWs) have demonstrated potential to enhance healthcare access for marginalized groups such as homeless families. This study aims to evaluate the feasibility and effectiveness of a novel CHW-based outreach program addressing sexual health issues among individuals residing in homeless hostels.MethodsTwelve social homeless hostels in the greater Paris region were selected as program implementation sites. An outreach program was developed consisting of two interventions: sexual health workshops and STI screening sessions (HIV and hepatitis B and C) accompanied by individual interviews, both conducted by CHWs within each hostel over an 8-week period and scheduled weekly. Feasibility, participation and engagement were evaluated using complementary methods including qualitative field observations, semi-structured interviews and focus groups with CHWs, satisfaction questionnaires for participants, and quantitative outcome data collection of each intervention.ResultsA total of 80 program activities (workshops and screening sessions) were conducted. Among the participants, 542 women and 30 men engaged in workshops. During the 30 Rapid Diagnostic Testing sessions, 150 individuals underwent testing for HIV, hepatitis B, and/or hepatitis C. Positivity rates were 6.7% for hepatitis B and 0.9% for hepatitis C. No HIV infections were detected. Participant satisfaction rates were consistently high (&gt;76%) across workshops. Qualitative analysis unveiled two critical axes influencing program feasibility and effectiveness: program organization and CHW involvement.DiscussionThis assessment of the program highlights its feasibility among a population that is difficult to reach through conventional healthcare efforts. The intervention’s potential effectiveness is suggested by self- and CHW-reported improvements in sexual health literacy and high rates of referral to the healthcare system, as well as holistic well-being considerations. CHW involvement is a vital determinant of program success, as are robust coordination among stakeholders, deep understanding of the target population, and strong partner engagement.ConclusionThis outreach program amplifies the voices of often-overlooked populations while empowering them to navigate health and social challenges. Although these workshops serve as lifelines for those frequently excluded from mainstream services, long-term improvements to the health and wellbeing of homeless populations will necessitate systemic governmental intervention.